ContractAuthorization Agreement for Preauthorized Payments • November 10th, 2021
Contract Type FiledNovember 10th, 2021AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS CUSTOMER: Please retain a copy for your records. MANAGEMENT COMPANY NAME Homeowner Association Services ASSOCIATION NAME UNIT ADDRESS HOMEOWNER ACCT NUMBER ASSESSMENT $ New ❒ Update ❒ Cancel ❒ UNIT OWNER NAME UNIT OWNER MAILING ADDRESS UNIT OWNER PHONE NUMBER UNIT OWNER EMAIL ADDRESS I/we authorize the above Association to charge my/our checking account at the financial institution indicated on my/our voided check for the payment of my/our monthly association assessment on or about the 8th of each month. I/we understand that these assessments may change periodically, and that such changes will be provided to Alliance Bank. by the above named Association. I/We also understand that it is our responsibility to contact Homeowner Association Services at the address listed, to stop or cancel the automatic preauthorized payment once I am no longer a Unit Owner (or plan to change my payme